摘要
目的观察阴道低频电脉冲刺激联合自拟丹桂藤黄汤治疗盆腔淤血综合征(PCS)的疗效及对血液流变学和血流动力学的影响。方法将120例PCS患者随机分为观察组60例和对照组60例,2组均给予常规治疗,对照组在常规治疗基础上给予阴道低频电脉冲刺激治疗,观察组在对照组治疗基础上给予自拟丹桂藤黄汤治疗,疗程2个月。记录2组临床症状积分、血液流变学和血流动力学的改善情况。结果 2组治疗后下腹痛、腰骶疼痛、性交痛、经行腹痛、子宫压痛、白带增多、月经不调、肛门坠胀感积分和高切全血黏度、低切全血黏度、红细胞压积、纤维蛋白原水平均显著降低(P均<0.05),且观察组上述积分和指标水平均明显低于对照组(P均<0.05);2组治疗后子宫壁间静脉血流速度、髂内静脉血流速度、子宫动脉峰血流速度、卵巢动脉峰血流速度均显著升高(P均<0.05),而子宫壁间静脉内径、附件围静脉丛曲张面积、子宫动脉血流阻力指数、卵巢动脉血流阻力指数均显著降低(P均<0.05),观察组上述指标改善情况均优于对照组(P均<0.05);2组治疗过程中无严重不良反应发生。结论阴道低频电脉冲刺激联合自拟丹桂藤黄汤能够显著改善PCS患者临床症状,且安全性好,其机制可能与改善血液流变学,并促进盆腔血流动力学恢复有关。
Objective It is to observe the effect of vaginal low frequency electric pulse stimulation combined with Dan- guitenghuang decoction on pelvic congestion syndrome （PCS） and its effect on hemorheology and hemodynamics. Methods 120 patients with PCS were randomly divided into observation group and control group, 60 cases in each group. Both groups were given conventional treatment, additionally the control group was treated with vaginal low frequency electrical stimulation thera- py, the observation group was treated with Danguitengbuang decoction on the basis of treatment in the control group. Both groups were treated for 2 months. The changes of clinical symptoms, hemorheology and hemodynamics in the two groups were observed. Results After treatment, the scores of abdominal pain, lumbosacral pain, dyspareunia, dysmenorrhea, uterine ten- derness, leukorrhagia, menstruation disorder, anal pendant expansion and the levels of high shear viscosity, low shear viscosi- ty, erythrocyte pressure, fibrin were significantly reduced in both groups（P 〈 0.05 ） , and the scores or levels above in the ob- servation group were lower than those in the control group （ P 〈 0.05 ） ; venous blood flow velocity of uterine wall, iliac vein, peak blood flow velocity of ovary artery and uterine were significantly increased （ P 〈 O. 05 ）, while the inner diameter of uterine wall and varicose area of adnexa venous plexus, uterine artery blood flow resistance index and ovary blood flow resistance index were significantly decreased in both groups（P 〈 0.05） , the improvements of these indexes in the observation group were better than that in the control group （P 〈 0.05 ）. No serious adverse reactions occurred during the treatment of 2 groups. Conclusion Vaginal low frequency electric pulse stimulation combined with Danguitenghuang decoction can significantly improve clinical symptoms with good safety in patients with PCS, its mechanism may be related to improve the blood rheology, and promote the pelvic blood flow dynamics about recovery.
作者
魏艳玲
向小丽
WEI Yanling;XIANG Xiaoli(Tangdu Hospital of the Fourth Military Medical University, Xi＇ an 710038, Shaanxi, China;The Worker＇ s Hospital of Xi＇ an NO. 3 Construction Group Company LTD, Xi＇ an 710054, Shaanxi, China)
出处
《现代中西医结合杂志》
CAS
2017年第35期3899-3902,共4页
Modern Journal of Integrated Traditional Chinese and Western Medicine
关键词
阴道低频电脉冲刺激
丹桂藤黄汤
盆腔淤血综合征
血液流变学
血流动力学
vaginal low -frequency electric pulse stimulation
Danguitenghuang decoction
pelvic congestion syndrome
hemorheology
hemodynamics
